| Regimental number | 81170 |
| Occupation | Motor driver |
| Next of kin | Wife, Mrs I A Cook, c/o Mrs G Satherley, No 1 Line, Foxton |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 4 |